Difficulty: Medium
Average Score: 71%
Simulated
A nurse in an acute care mental health facility is caring for a client who has depression. After 3 days of treatment, the nurse notices that the client suddenly seems cheerful and relaxed and there are no longer signs of a depressive state. Which of the following interventions is appropriate to include in the plan of care?
Correct answer
A
Rationale
The correct answer is A: Monitor the client's whereabouts at all times. This is important because sudden improvements in clients with depression can sometimes indicate a risk for suicide. By monitoring the client's whereabouts, the nurse can ensure the client's safety and prevent any potential harm.
Choice B is incorrect because rewarding the client for the change in behavior may reinforce the behavior in a way that is not appropriate for the client's mental health condition. Choice C is incorrect because asking the client why her behavior has changed may not provide useful information and could potentially trigger negative emotions. Choice D is incorrect because taking the client out of the facility without proper monitoring may pose a safety risk.
Choice B is incorrect because rewarding the client for the change in behavior may reinforce the behavior in a way that is not appropriate for the client's mental health condition. Choice C is incorrect because asking the client why her behavior has changed may not provide useful information and could potentially trigger negative emotions. Choice D is incorrect because taking the client out of the facility without proper monitoring may pose a safety risk.